Bronchotomy is a surgical procedure performed to access and treat conditions within the bronchial tree, the network of airways leading to the lungs. Typically used in cases of severe lung infections, tumors, foreign object removal, or to address blockages, this procedure involves making an incision in the chest wall to directly access the bronchial passages. The process begins with the patient under general anesthesia to ensure comfort and immobility. The surgeon then makes a precise cut in the chest wall, often between the ribs, allowing access to the affected bronchial area. Through this opening, specialized instruments or a bronchoscope may be used to examine, clear obstructions, or perform necessary treatments within the bronchial tubes. Post-surgery, patients are closely monitored for any signs of complications such as infection or bleeding. Recovery time can vary based on the reason for the bronchotomy and the patient's overall health. Rehabilitation, including respiratory therapy and follow-up care, may be necessary to aid in the restoration of lung function and the overall healing process. Bronchotomy is a complex procedure requiring skilled medical expertise, and while it carries risks inherent in any surgical intervention, it can significantly improve respiratory function and alleviate conditions impacting the bronchial passages when successful.